What are the responsibilities and job description for the 340B Analyst position at Essentia Health?
Job Description:
The 340(b) Program Analyst is responsible for providing ongoing program development and ensures a compliant program for the organization’s 340(b) drug pricing program. The 340(b) Analyst performs internal regulatory compliance audits, analyzes and interprets data to identify cost and clinical opportunities, creates reports, develops and maintains policies and procedures in accordance with the 340B Program and provides necessary education to other employees as appropriate. The work is primarily independent, with oversight from the Pharmacy Manager, and works with other pharmacy team members as needed to complete duties.
Education Qualifications:
- Actively engages with senior leadership and participates in decision-making processes related to the implementation of new 340B processes
- Acts as the liaison with necessary affiliated departments to ensure 340B Program integrity
- Provides expertise with the 340B Program to staff and participants regarding ongoing compliance
- Serves as the point person and coordinator for all audits. Coordinates all requests and responses
- Evaluates patient eligibility for qualified and non-qualified patients in hospital-based mixed-use areas and clinics by reviewing patient medical records, insurance plans, and hospital status
- Monitors 340B compliance within workflow processes and ensures evaluations of gaps at the site level and assists in providing the tools necessary to be compliant with the 340B Program
- Assists with development of policies and procedures and ensures they are maintained according to organizational, regional, national, state, and federal requirements and guidelines and are approved by the institution’s legal department
- Provides ongoing training, education, and communication required for the 340B Program at the organization
- Monitors and assesses 340B guidance and/or rule changes, including, but not limited to, HRSA/OPA rules and Medicaid changes. Attends regular 340B trainings and shares lessons and hot topics with staff
- Reviews and negotiates any new 340B contracts. Maintains all 340B contracts and manages relationships, billing services, and compliance with contracted 340B pharmacies
- Responsible for ensuring that the annual HRSA recertification is completed within the allowable time frame, HRSA 340B OPAIS is accurate for all organization entities and registration of any new child sites within the allowable time frame
- Develops monthly and annual reports on 340(b) Program participation which clearly documents utilization, savings, problem areas and exceptions or discrepancies, to be passed to pharmacy leadership and administration
- Develops and maintains internal relationships (accounting, legal, national) and external relationships (wholesalers, manufacturers, contract pharmacies, split-billing software vendors, employee benefit pharmacy benefits managers [PBMs], and third-party administrator [TPA] vendors) as needed
- Develop and monitor routine reports that are integrated into the inventory process and software, allowing for concise information to be communicated to pharmacists and technicians responsible for 340(b) Program to ensure that consistent processes are followed
- Develops, executes, and documents self-audits of the 340B process. Coordinates and ensures remediation of findings
Educational Requirements:
- Bachelor's Degree in IT, Business, or other related field
Required Qualifications:
- 1 year of experience in healthcare finance, pharmacy operations, data analysis or equivalent area
- 340(b) experience preferred. Proficiency in MS Office applications including Excel, Word, PowerPoint, Outlook and Teams
Licensure/Certification Qualifications:
Certification/Licensure Requirements:
ACE Completion or completed within 6 months of hire
1
Day Rotation (United States of America)
$51542 - $77314 / year
The approximate base compensation range is posted, but the actual offer will reflect our total compensation and benefits package. The offer will be determined by a number of factors including the selected candidate’s experience, knowledge, skills, abilities, FTE, as well as internal equity among our team.
Effective December 1, 2019: Job offers are contingent upon successful completion of a post-offer assessment, including a urine drug screen, immunization review, proof of required vaccinations, and background check. Essentia Health is committed to maintaining a work environment free from the influence of illegal drugs and alcohol.
Essentia Health EEO:
Essentia Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, sexual identity, national origin, disability, protected veteran status, or any other characteristic protected by law.
Salary : $51,542 - $77,314
